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Permit Pavers 1875 Beach 2011 11`!- 64 � CITY OF ATLANTIC BEACH '�� r 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 , INSPECTION PHONE LINE 247 -5814 J1319r Application Number 11- 00002409 Date 8/10/11 Property Address 1875 BEACH AVE Application type description RESIDENTIAL OTHER Property Zoning TO BE UPDATED Application valuation . . . 9153 Application desc replace wooden deck with pavers Owner Contractor NOTTMEIER MARCELO PAVERS, INC. 1875 BEACH AVENUE 14901 BULOW CREEK DR. ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32258 (904) 868 -2373 Permit W /W /O BUILDING PERMIT Additional desc . Permit Fee . . . 200.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 9153 Expiration Date . 2/06/12 Special Notes and Comments Roll off container company must be on City approved list and container cannot be placed on City right -of -way. Other Fees STATE DCA SURCHARGE 3.00 ENG REV BLDG MOD OR ROW 25.00 STATE DBPR SURCHARGE 3.00 Fee summary Charged Paid Credited Due Permit Fee Total 200.00 200.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 31.00 31.00 .00 .00 Grand Total 231.00 231.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ,,. � City of Atlantic Beach APPLICATION NUMBER � % Buildin De arhnent 800 Semin Road ° (To be by the Building Department) 's.., = , .� Atlantic Beach, Florida 32233 -5445 // — 02 7v 7 � ,, Phone (904) 247 -5826 - Fax (904) 247 -5845 V `'`- ostI e assigned building- dept©coab.us Date routed: 74//// City web -site: http : //www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: /f7 ae/' t Department review required Yes No pp � ? av A Itcant: © . � �P� tannin • 8 Zorng V A h v T ± • •m'nistrator Project: 7/2//e h7OD /�fef- /-(,1 ) Public Wor. p ii '.c Public Utilitie Public Safety Fire Services Reviei feed$ 4 4 . .. . Other Agency Review or Permit Required Review or Recei Date of Permit Verified By Florida Dept. of Environmental Protection Florida Dept. of Transportation St. Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: Approved. ['Denied. (Circle one.) Comments: BUILDI .q NNING & ZONING Reviewed by: 2,6_ a Eit Date: c A REE ADMIN. Second Review: DApproved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: DApproved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 07/27/10 s! City of Atlantic Beach t t Building Department T APPLICATION NUMBER r . J 800 Seminole Road V (To be assigned by the Building Department.) u Atlantic Beach, Florida 32233 -5445 ` 0,6 \ �' Phone (904) 247 -5826 Fax (904) 4?p§845 Zo/ '•�JH1>'' E -mail: building- dept©coab.us Date routed: e City web -site: http: //www.coab.us APPLICATION REVIEW AND y CKING FORM Property Address: /J c �t (Y/ - "3 c Department review required Yes No Applicant: ,, / ) l[ ( /C / ''( tannin! S Zoning JJ /) ' • 'stator / l.j )/ + /1t v�,�C. %6�S 7 t�'� /�'f71 j ) PublicWo II 7) Public Utilit�e`3; '� .5 ' Pubric saw Fire Services Other Agency Review or Permit Required Review or Recei Date of Permit Verified By Florida Dept. of Environmental Protection Florida Dept. of Transportation St. Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: ['Approved. [Denied. (Circle one.) Comments: 4)(, Vite. BUILDING PLANNING & ZONING Reviewed by: Date: �/ VA _d2‘ TREE ADMIN. ' Second Review: 6,1 .proved as revised. ['Denied. PUBLIC WORKS Comments. / /G //- '• PUBLIC UTILITIES /At PUBLIC SAFETY Reviewed by: Date: /) FIRE SERVICES Third Review: ['Approved as revised. ['Denied. Comments: Reviewed by: Date: Revised 07/27/10 B C u itr id o in f g At D ia e n pa tic rtm Be e a n c t h , cro be ass B :,-; '1 - ' :,•-•. 800 Seminole Road Atlantic Beach, Florida 32233-5445 f "-...\ Phone (904) 247-5826 - Fax (904) 247-5845 /2 .:-... E-mail: building-deptarcoab.us Date routed: " ./ City web http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: /J/ ,13c A(' /// ,--/ it c:.., Department review required Yes No Byilding----- '-- i) 1 / c' Applicant: ,' (Ix' ) 0 / ' - jr ) (f li 1 kfr.'. , -- lannin• & Zo • T =,- ' • •• nistrator Project / , i /ht)( i 43 I - t'. it.. r 7 d_Public VVo I. -2 -C , 4 Public Utils itire • fp /9 1 ,: s',,c- - us - ?:7 - -ty Fire Services 40. Review or Receipt Other Agency Review or Permit Required Date of Permit Verified By Florida Dept of Environmental Protection Florida Dept of Transportation St. Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: fpproved. ['Denied. (Circle one.) Comments: BUILDING PLANNING & ZONING Reviewed by: Date: TREE ADMIN. Second Review: DApproved as revised. ['Denied. P 1 • " ... ments: UBLIC UT 1TIE PUB (SAFE Reviewed by: Date: FIRE SERVICES Third Review: DApproved as revised. ['Denied. Comments: Reviewed by: Date: Revised 07/27/10 BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH n 800 Seminole Road, Atlantic Beach, FL 32233 ' ' \ \ Office (904) 247 -5826 Fax (904) 247 -5845 ' .oh Address: / l e 75 e-- o c t ky- Permit Number: ,egal Description Floor Area of Sq.Ft. Parcel # o S F't 'aluation of Work $ Proposed Work heated /cooled non-heated/cooled n " lass of Work (circle one): New Addition Alteration Repair Move Demolition pool /spa window /door Ise of existing /proposed structure(s) (circle one): Commercial Res f an existing structure, is a fire sprinkler system installed? (Circle one): Y o N /A lorida Product Approval # or multiple products use pro uct approval form iescribe in detail the type of work to be performed: lC(Ap V3D O( 61,eC Z .�, h Ck pct.t eA roperty Owner Information: y ame: 1 = �,\ C.. , 19 k --- ME. � EA - t�C'�. adr�� l S � cB C I.\.\ Ity _k__ LPr1� 11 c � � lk State Zip Phone O y> r� 3 - l � •Mail or Fax # (Optional) ontractor Infor mation: )mpany N. me: k(W,C CA-0 I E s C..- Quali ing Agent: idress: 1+-/ O 1 J Ot Cfee.IC_ ..1)( City Pc State Zipr i3 -o461 3 ` r 5 ' Ffice Phone( 263 - 3 3 Job Site/ Contact Number ( b q 6 - 0 2' " Fax # (CtD ate Certification /Registration # •chitect Name & Phone # igineer's Name & Phone # e Simple Title Holder Name and Address )nding Company Name and Address ortgage Lender Name and Address olication is hereby made to obtain a permit to do the work and installations as indicated. 1 certify that no work or installation has commenced prior to the wane ofa permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null 1 void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for aperiod of six (6) months at any time after rk is commenced. I understand that separate permits must be secured for Electrical" Work, Plumbing, Signs, Wells, Pools, F urnaces, Bo Heaters, nks and Air Conditioners, etc. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. reb certify that 1 have read and examined this a placation and know the same to be true and correct. All provisions of laws and ordinances governing this of work will be complied with whether specified herein or not. The granting of a permit does not presume to g authority to violate or cancel the visions of any other federal, state, or local law regulating construction or the performance of construction. ;nature of Owner ak/V....._ Ze tc Signature of Contractor 41 rif I iL nt Name �a ,,., ► w o bscrib.. refore me Swore , . nd subscri e I before me ; ' rn ' D ay of ., -' . / 20 t his i ay of 20 ;y �I ,. Lary- ` c' 0 " n RLE1'LQRAHAM , No . 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